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Doctors Lounge - Gynecology Answers

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Forum Name: Gynecology

Question: Prengnacy questions


 Catherine Fergerson - Wed Dec 05, 2007 6:14 pm

I am currently 7 weeks 3 days pregnant. I had an ultrasound at 6 weeks 2 days and one done in my dr. office today. We saw the baby, and she is fine with a heartbeat of 138. My question is, though we have only seen one baby so far, my progesterone levels at 6 weeks were 228. Looking at the lab work it says normal for 1st trimester is 4.73-50 ng/ml and for the second: 19.41-45.30 ng/ml. I don't seem to fit into either category here with a 228. Could this mean more than one baby, and would they have been able to locate it on a ultrasound yet? Could there possibly be more hiding? My last hcg level was checked at 6 weeks 1 day as well it was 17,452.
 Debbie Miller, RN - Wed Dec 05, 2007 11:37 pm

User avatar Progesterone and hcg levels vary greatly and should not be relied upon for much except to help to verify pregnancy in the case of bleeding or suspected miscarriage. They are just two parts of a very complex picture that make up a healthy pregnancy and while an increase can occur relating to multiples, this would not be a reliable way to determine this. The chances of missing a second baby would be quite slim, especially where you were able to get a good, strong, visible heartbeat. Anything is possible but there are many reasons for progesterone fluctuation so don't start buying double yet.

Congratulations on your pregnancy and best wishes.
 Catherine Fergerson - Thu Dec 06, 2007 1:59 pm

Can this lead to extreme exhaustion? I am sleeping close to 14-16 hours a day.

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